| NPI | 1225613375 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VIPUL NANAVATI Owner 208-506-3665 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery |
| Additional Taxonomies | 207XS0106X Orthopaedic Surgery, Hand Surgery |
| Enumeration Date | 2021-03-10 |
| Last Update Date | 2022-02-23 |